‘The system failed’: Experts lay plans for reforming long-term care after pandemic
By
Danielle Brown
Aug 04, 2020
Now is the opportunity for providers, policymakers and other stakeholders to aggressively reform the long-term services and supports system after its underlying weaknesses were exposed under pandemic conditions,...
Nursing home psychiatrist in federal custody on 52 counts of fraud, including upcoding
Oct 17, 2014
Authorities have arrested a nursing home psychiatrist and charged him with 52 counts of healthcare fraud, the U.S. Attorney for the Northern District of Texas announced Thursday.
The government plans a ‘computer matching program’ to combat improper Medicare, Medicaid...
By
Tim Mullaney
Sep 08, 2014
The government plans to start a “computer matching program” to reduce improper payments from government health programs to providers and other entities, the Centers for Medicare & Medicaid...
Profile: AHCA’s money player
By
Elizabeth Newman
Sep 01, 2014
If there’s a prevailing theme around the hours American Health Care Association senior fellow Elise Smith keeps, it’s that they are constant.
Hospitalist firm charged
By
John O'Connor
Aug 01, 2014
A hospitalist company that works with thousands of facilities is facing federal charges that its clinicians routinely overbilled Medicare and Medicaid, authorities recently announced.
Dual eligibles in nursing homes have fewer hospitalizations than those in home- and community-based care,...
By
Tim Mullaney
Mar 19, 2014
Elderly, frail people are more likely to be hospitalized if they are receiving home- or community-based services than if they live in a nursing home, according to newly published research. Recent Medicaid...
Court expresses concern over Omnicare drug packaging practices but dismisses False Claims suit
By
Tim Mullaney
Feb 26, 2014
A whistleblower exposed disturbing drug packaging practices being used by long-term care pharmacy Omnicare Inc., but the charges don’t fall under the False Claims Act, a federal appeals court recently...
Feds join suit against hospitalist company
By
Tim Mullaney
Feb 01, 2014
The federal government has joined in a whistleblower lawsuit alleging that a large hospitalist company engaged in systematic “upcoding” of Medicare and Medicaid claims.
Nursing home hospice provider kept patients in hospice for years, overbilled for their care, prosecutors...
By
Tim Mullaney
Jan 28, 2014
An Illinois-based hospice provider overbilled Medicare and Medicaid by inappropriately designating nursing home residents as hospice patients, sometimes for years, according to federal charges announced...
Nursing home therapy providers agree to pay $30 million whistleblower settlement
By
Tim Mullaney
Jan 22, 2014
Two nursing home therapy providers and a nursing home management company have agreed to pay $30 million to settle claims that they engaged in a kickback scheme, the U.S. Department of Justice has announced.